This survey is to understand your child’s needs: how to support them to access an education, realize their future life potential and maintain their mental wellness while in school.

The survey will help understand strategies that you use to manage “school refusal” situations and what kinds of supports and services would be optimal for your child. Please involve your child in answering some of these questions.

Your answers are CONFIDENTIAL.

Thank you for your help!

INSTRUCTIONS FOR COMPLETING THIS SURVEY:

Please choose the answer that is right for you. Indicate your choice in one of the boxes.